A client on peritoneal dialysis is concerned about the risk of infection at the catheter insertion site. Which of the following instructions should the nurse provide to the client?

"Change the catheter dressing every week."

"Use antibiotic ointment on the catheter site daily."

"Avoid touching the catheter site with clean hands."

"Clean the catheter site with hydrogen peroxide regularly."

Answer and Explanation

The Correct Answer is C

A) This statement is incorrect. The catheter dressing should be changed regularly as per the healthcare provider's instructions, but it is not typically changed every week.

B) This statement is incorrect. The routine use of antibiotic ointment is not recommended, as it can lead to antibiotic resistance and is not necessary for all clients on peritoneal dialysis.

C) To reduce the risk of infection, the client should avoid touching the catheter site with clean hands. Maintaining proper hand hygiene is essential to prevent infection.

D) This statement is incorrect. Cleaning the catheter site with hydrogen peroxide is not recommended, as it can be too harsh and irritating to the skin. Instead, the site should be cleaned with mild soap and water or as instructed by the healthcare provider.

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Correct Answer is D

Explanation

A) This statement is incorrect. Hypernatremia (high sodium levels) is not the primary indication for initiating dialysis in this case. Metabolic acidosis and the inability of the kidneys to excrete acids are the primary concerns.

B) This statement is incorrect. Hyperkalemia (elevated potassium levels) may occur in CKD, but it is not the primary indication described in the scenario. Metabolic acidosis is the primary concern leading to the need for dialysis.

C) This statement is incorrect. Hypocalcemia (low calcium levels) can be a complication of CKD, but it is not the primary indication for initiating dialysis in this scenario. Metabolic acidosis and its associated symptoms take precedence.

D) Severe metabolic acidosis, which results from the kidneys' inability to adequately excrete acids and regulate pH balance, is a critical indication for initiating dialysis in clients with CKD.

A. "I will avoid doing any heavy lifting to prevent damage to the catheter." B. "I will clean the catheter exit site with soap and water daily." C. "I will change the dressing around the catheter insertion site weekly." D. "I will notify my healthcare provider if there is any redness or drainage at the catheter site."

Correct Answer is C

Explanation

A. Correct. Avoiding heavy lifting can help prevent trauma or dislodgement of the peritoneal catheter, which can be a risk factor for infection or complications.

B. Correct. Cleaning the catheter exit site with soap and water daily helps maintain cleanliness and reduce the risk of infection.

C. Incorrect. The dressing around the catheter insertion site should be changed more frequently than weekly, ideally every 2-3 days, to ensure proper hygiene and reduce the risk of infection.

D. Correct. Notifying the healthcare provider about any redness or drainage at the catheter site is essential, as these can be signs of infection or other complications that require prompt evaluation and treatment.

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A client on peritoneal dialysis is concerned about the risk of infection at the catheter insertion site. Which of the following instructions should the nurse provide to the client?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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